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We now recommend the following method of scoring be used by everyone: Score each question (item) from 0 to 4 with 0 being the worst outcome and 4 being the best outcome. The scores are then summed to produce an overall score running from 0 (worst possible) to 48 (best outcome).
The Lyshom Knee Scoring Scale is a patient-reported instrument that consists of subscales for pain, instability, locking, swelling, limp, stair climbing, squatting, and the need for support. Scores range from 0 (worse disability) to 100 (less disability). Original Literature: Lysholm, Jack, and Jan Gillquist.
Scores are transformed to a 0100 scale, with zero representing extreme knee problems and 100 representing no knee problems as common in orthopaedic scales and generic measures. Scores between 0 and 100 represent the percentage of total possible score achieved. What difficulty have you experienced the last week?
A score of 0 to 19 may indicate severe knee arthritis. It is highly likely that you may well require some form of surgical intervention. A score of 20 to 29 may indicate moderate to severe knee arthritis. You may require an assessment and x-ray.
The OKS consists of twelve questions that are assessed using a Likert scale with values from 0 to 4, a summative score is then calculated where 48 is the best possible score (least symptomatic) and 0 is the worst possible score (most symptomatic) [20].

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The Oxford Knee Score (OKS) consists of 12 questionnaire items with 5 ordinal response options each. Recall period during the last 4 weeks. Scoring: Originally, each item was scored 15 (5 = worst/most severe problems), with all item scores summed to produce scale 1260.
Evaluation of the OKS The possible total score ranges from 12 to 60 points, a low score (e.g. 12 points) indicates a good outcome with a greater degree of joint function with minimal pain and a high score indicates the opposite.
Score 20 to 29 May indicate moderate to severe knee arthritis. Requires consultation with an orthopaedic surgeon.

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